MESA FAMILY MEDICAL CENTER – NPI #1881944619
Clinic/Center

MESA FAMILY MEDICAL CENTER is an AHC clinic located in MESA, AZ. NPPES has assigned the NPI number 1881944619 to MESA FAMILY MEDICAL CENTER on September 19, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MESA FAMILY MEDICAL CENTER” is a dba name, the actual legal business name for this organization is CONCENTRA PRIMARY CARE OF ARIZONA, PA. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 10 years ago on Mar 02, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MESA FAMILY MEDICAL CENTER below.

NPI Profile for
CONCENTRA PRIMARY CARE OF ARIZONA, PA

NPI Number
1881944619
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CONCENTRA PRIMARY CARE OF ARIZONA, PA
Doing Business As (dba): MESA FAMILY MEDICAL CENTER
Primary location
1345 E. MCKELLIPS ROAD
SUITE 106
MESA, AZ 85203
Phone: (972) 364-8000 Fax: (214) 775-4502
Mailing address
5080 SPECTRUM DRIVE
SUITE 1200 WEST TOWER
ADDISON, TX 75001-4648
Phone: (972) 364-8000 Fax: (214) 775-4502
Organization Subpart
No
Authorized Official
JOHN ANDERSON
PRESIDENT
Phone: (972) 364-8000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.